Dental
Bluestone Oral and Maxillofacial Surgery, P.A.
Bluestone Oral and Maxillofacial Surgery, P.A. was paid $15K by Medicaid between Nov 2018 and Jan 2019, across 2 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 95% of everything it billed.
33Billing provider infoBLUESTONE ORAL AND MAXILLOFACIAL SURGERY, P.A.
DULUTH, MN 55802
DULUTH, MN 55802
33aNPI1578511572assigned 05/04/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$15K
24GClaims123
24DCodes billed2
24AFirst – last monthNov 2018 – Jan 2019
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Minnesota
Rank by total paid#17 of 22
Median peer was paid$91K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 62 | $7K | |
| 2019 | 61 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 95% | 106 | 25 | $14K |
| D0140 | Limited oral evaluation - problem focused | 4.8% | 17 | 17 | $732.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSOUTHWORTH, JEAN (BUSINESS ADMINISTRATOR)